Provider Demographics
NPI:1639103245
Name:PRICE, DONALD HOWARD (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:HOWARD
Last Name:PRICE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6697
Mailing Address - Country:US
Mailing Address - Phone:215-295-4776
Mailing Address - Fax:215-295-9216
Practice Address - Street 1:326 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-6697
Practice Address - Country:US
Practice Address - Phone:215-295-4776
Practice Address - Fax:215-295-9216
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001061L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
115489OtherBLUE CROSS BLUE SHIELD
0023282000OtherBLUE CROSS BLUE SHIELD
T28889Medicare UPIN